A new non-prescription painkiller is now available in pharmacies
across the UK, heralding the first UK painkiller combination of
ibuprofen and paracetamol in 'over-the-counter' pain relief.
NUROMOL is the UK's first clinically-proven painkiller to combine
the power of ibuprofen and paracetamol in one tablet. In a dental
pain study, one tablet of Nuromol was shown to provide pain relief
that is significantly stronger than a 1000mg paracetamol and 30mg
codeine combination[2*].

*The maximum OTC dose in the UK is 1000mg paracetamol and 25.6mg
codeine. This comparison relates to cumulative pain relief
over 12 hours following a single dose.

'NUROMOL is a new painkiller, which we hope will help more
people obtain stronger pain relief than you can get from ibuprofen
or paracetamol alone,' says Trevor Gore, Training Manager,
Healthcare, 'and NUROMOL is available without a prescription
in pharmacies across the country.'

'Paracetamol and ibuprofen work in different ways to
relieve pain,' says Dr Hicks. 'It makes absolute sense to
combine these two painkillers in one tablet, making it ideal for
people with dental pain, migraine, and period pains, which may
require stronger and longer-lasting pain relief than can be
delivered by either ibuprofen or paracetamol on their own.'

Why is a new painkiller needed?

Pharmacies already sell a baffling range of different
painkillers - many of them containing combinations of different
products. A closer look at the labels, however, reveals that the
vast majority contain either ibuprofen or paracetamol, sometimes in
combination with caffeine or a mild opioid such as
codeine.[3] All these painkillers
work in different ways; some (e.g. paracetamol) work in the brain
to block pain signals, while others (e.g. ibuprofen) also work at
the site of pain.

Ibuprofen and paracetamol have a well established safety profile
and are recommended and used by GPs and pain specialists around the
world.[3] Codeine-containing
painkillers can potentially lead to dependency and addiction after
prolonged use,[3] which has
recently prompted the UK health authorities to restrict their use,
limit pack sizes, and add prominent warnings to labels and
advertising.[4]

Although currently-available, non-prescription painkillers are
effective for most people but a recent Opinion Health
survey[5] found that over 80% of
respondents had taken a painkiller that had not offered sufficient
pain relief or relieved their pain for long enough. Dental pain
appears to be particularly difficult to treat, with over half
(58%)[5] of survey respondents
reporting they had suffered from dental pain that was not relieved
through taking painkillers.

NUROMOL has been extensively studied in people with severe
dental pain after tooth extraction. The recommended dose provides
up to eight hours of pain
relief.[6]

'If people are not happy with the level of pain relief they get
from their usual over-the-counter pain medications, they should
talk to their pharmacist about suitable alternatives,' concluded Dr
Hicks.

In a dental pain study, one tablet of Nuromol was shown to
provide pain relief that is significantly stronger than a 1000mg
paracetamol and 30mg codeine combination.[2*]

*The maximum OTC dose in the UK is 1000mg paracetamol and 25.6mg
codeine. This comparison relates to cumulative pain relief
over 12 hours following a single dose.

If one tablet is not sufficient to relieve symptoms then the
dosage maybe increased to two tablets still leaving 6 hours between
doses. Nuromol should be taken with water and food for the
shortest duration of time necessary to relieve symptoms and for no
more than 3 days.

Two tablets were shown to offer stronger pain relief which
lasted for longer than 400mg ibuprofen and 25.6mg codeine
combination.[2]

For adults over 18 years, one tablet (or two tablets if one
tablet does not control symptoms) of NUROMOL can be taken up to
three times per day with water and food. At least 6 hours should be
left between doses. No more than six tablets should be taken
in any 24-hour period.

People should use the lowest effective dose for the shortest
time necessary to relieve their symptoms.

NUROMOL comes in tablet form and is available from pharmacies.
The product will be available in a range of pack sizes, and has a
RRP of £2.49 for six tablets.

Nuromol is the first combination of paracetamol (500mg) and
ibuprofen (200mg) available over-the-counter in the UK.
Always read the leaflet. Nuromol is a registered trade mark
of Reckitt Benckiser.

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